Arterial embolization is the best treatment for pancreaticojejunal anastomotic bleeding after pancreatoduodenectomy

查看全文 作　　者：Romaric [1]Loffroy;Boris [1]Guiu

机构地区：[1]Division of Vascular and Interventional Radiology,University of Dijon,School of Medicine,Bocage Teaching Hospital,2 bd du Maréchal de Lattre de Tassigny,BP 77908,21079 Dijon Cedex,France

出　　处：《World Journal of Gastroenterology》索引2009年第15卷第32期,共2页

摘　　要：Massive pancreaticojejunal anastomotic bleeding, mainly from the gastroduodenal stump, is one of the most common complications of pancreato-duodenectomy. Selective angiography should be systematically the first step of investigative procedure in such situations. Pharmacoarteriography may be used if the bleeding point is not spontaneously identified, and allows safe and effective treatment with transcatheter arterial embolization compared to blind open surgical hemostasis. Coil embolization of the common or proper hepatic artery on either side of the bleeding point with 'sandwich technique' is then the preferred technique to prevent retrograde filling. Surgery should be performed only as a last resort. 关键词：十二指肠肝动脉切除术出血栓塞治疗调查程序血管造影

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Arterial embolization is the best treatment for pancreaticojejunal anastomotic bleeding after pancreatoduodenectomy

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